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Individual

DR. GARY L CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
209 EAST 24TH STREET, TIFTON, GA 31794
(229) 382-0467
(229) 382-8714
Mailing address
209 EAST 24TH STREET, TIFTON, GA 31794
(229) 382-0467
(229) 382-8714

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013515
GA

Other

Enumeration date
06/20/2007
Last updated
07/08/2007
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